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Originally Posted by FSETH
Isn't that how BMW dealers work as well? The warranty companies have contracted prices that they will pay the dealers for repairs that are lower than what the dealers would change a person out of warranty for the same repairs that walked in off the street?
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Yep...Pretty much how the world works except in the case of health-care the HMO's tell the providers to sign on for pennies on the dollar or you won't be able to see a significant percentage of the population which would place the doctor "out of network". The landscape of "fee for service" is being eroded to the point Doctors are forced to see more patients just to pay for medical school.
Managed care is just that...If a specific doctor is "over utilizing" expensive services as determined by the insurance company he could be removed from the network.